Infant Meals and Required Records in the CACFP

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Infant Meals and Required Recordsin
theCACFP
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http//www.nde.state.ne.us/NS/cacfp/feeding_infant
s.pdf
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http//www.nde.state.ne.us/ns/adobe/ns_408_g.pdf
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Nutrition Services Web Site

• http//www.nde.state.ne.us/NS/
• Click on CACFP at the top of the page
• Choose Infant Feeding in the drop down box

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• All Centers Are Required to Offer Infant Meals

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Centers are allowed to claim infant meals
containing parent provided formula
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Definition of Infant in the Child and Adult Care
Food Program

• Birth through 11 months
• Up to the day the child has his/her first
  birthday

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Requirements for Feeding Infants

• Iron-fortified infant formula must be offered by
  each center
• Parent must accept or decline this formula

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Infant Formula/Feeding Selection Form

• Formerly Sign-Off Form
• A signed form must be on file
• for each child under 1 year old

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Infant Formula/Feeding Selection Form

• Top portion completed during enrollment. Center
  must list a specific formula.
• Bottom portion completed after the infant is 4
  months old

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Infant Formula Selection Form

• INFANT FORMULA SELECTION FORM 
• In order to comply with the requirements of the
  Child and Adult Care Food Program (CACFP), the
  following must be completed when the infant is
  enrolled in the center
•  
•  
• Infant Name _____________________________Date of
  Birth ________________
•  
• Formula Offered by Center _______________________
  _____________
• (must be filled out by the center)
•   _____ I accept the above named formula for my
  infant.
•  
• _____ I decline the above named formula for my
  infant.
• Check one of the following boxes
• ? I will furnish breast milk for my infant.
•  
• ? I will furnish formula for my infant. Name of
  formula______________________
• Parent Signature ______________________________
  ___

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Infant Formula/Selection Form
INFANT FEEDING SELECTION FORM  To be completed
when the infant is 4 - 7 months old   _____ My
infant is developmentally ready to be served
solid foods. Choose one of the
following   _____I accept the CACFP meal pattern
provided by this center for my infant.   _____I
decline the CACFP meal pattern provided by this
center for my infant and I will provide food for
my infant.   ______________________ ______________
____ Parent Signature Date
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RequiredIron Fortified Infant Formula

• Current list is found on the Web Site
• Nutrition Services - Child And Adult Care Food
  Program - Infant Feeding
• Choose Formulas that do not require medical
  statement

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Breast Milk

• Credited the same as formula
• Chapter 3 provides information on handling breast
  milk

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Infant Feeding Selection Form

• Parent completes when the infant is ready for
  solid food
• Parent indicates acceptance of the CACFP meal
  pattern

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Iron Fortified Infant Cereal

• Mix with breast milk or formula
• Feed with a spoon not from a bottle

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Vegetables and Fruits

• Introduce fruits and vegetables that the infant
  is receiving at home

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Vegetables and Fruits

• Commercially Prepared
• Center Prepared

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Commercially Prepared Vegetables and Fruits

• Must list vegetable or fruit as first ingredient
• Plain vegetables and fruits are preferred

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Commercially Prepared Vegetables and Fruits

• Must list Vegetable or Fruit as the first
  ingredient
• Not creditable
• Cereals, desserts, puddings listing fruit as the
  first ingredient
• Fruit or vegetable listing water as the first
  ingredient
• Fruits containing tapioca
• Fruits/vegetable containing DHA

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Center Prepared Fruits and Vegetables

• Make texture appropriate
• Avoid canned vegetables that are high in sodium.
• Frozen is best
• Avoid canned or frozen fruits with added sugar

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Meat and Meat Alternates

• Lean meat and poultry with appropriate texture

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Meat and Meat Alternates

• Not creditable
• Fish Sticks
• Hot dogs/Baby Food meat sticks
• Home canned meats
• Combination Dinners

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Meat and Meat Alternates

• Eggs
• Egg yolks at 8 months
• Yolk must be hard cooked
• Avoid egg whites until after 1 year

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Meat and Meat Alternates

• Cheese
• Introduced at 8 months or older
• Regular cheese rather than processed cheese

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Meat and Meat Alternates

• Dried beans and peas
• Cooked and pureed or mashed

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Bread/Crackers

• Bread or crackers
• Strips of dry bread, toast, tortillas
• Plain crackers
• Teething biscuits

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Foods to Avoid

• Honey either plain or in foods
• Honey is prohibited for infants
• Artificial Sweeteners

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Infant Meal Pattern

• Through 3 months the only meal component is
  breast milk or formula

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Reimbursable meals for Birth through 3 months

• Parent provided breast milk
• Parent provided formula
• Center provided formula
• Staff mother breast-feeding during work hours
• Only exception is when visiting mother
  breastfeeds infant

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Reimbursable meals for 4 though 7 month olds

• Parent provided breast milk
• Center provided formula
• Parent provided formula
• Foods added as appropriate provided by Center

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Reminders

• Ages 4-7 months
• 0-3 T cereal or veg/fruit means that the meal
  component is optional
• Portion size not listing zero as a measurement
  indicates the component must be offered.

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Reimbursable meals for 8 through 11 month olds

• Center must provide meal components with either
  breast milk or formula

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Reminders

• Ages 8-11 months
• Breakfast--infant cereal is required
• Lunch Supper--
• infant cereal and/or meat/meat alternate must be
  served

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Reminders

• Full strength (100) juice is reimbursable only
  at snack for 8 through 11 month old infants
• Juice should be pasteurized

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Reimbursement Requirements

• Infant must be enrolled
• Infant Formula/Feeding Selection Form must be
  completed

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Reimbursement Requirements

• Infant Meal Record must be completed
• Meals counted at point of service
• Claim as Paid unless IEF is on file

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Infant Meal Records

• Weekly Record
• One per individual per week
• OR
• Daily Record
• One per day for multiple infants

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Daily Infant Meal Record

• One record per day for all infants in an age
  group
• List each infants name and Date of Birth
  (D.O.B.)
• List amount of food offered at each meal to be
  claimed
• Count the meals at the bottom of the page

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Weekly Meal Record Individual Infant

• List the infants name and Date of Birth (D.O.B.)
• List amount of food offered at each meal to be
  claimed
• Count the meals at the bottom of the page

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Reminders

• The amount of formula or breast milk and food
  offered must be recorded.
• Please note if formula (F) or Breast Milk (B) if
  offered.

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Question

• A parent mixes cereal and formula in a bottle and
  brings it to the center. Can we claim this as a
  creditable formula for a meal?

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Answer

• A parent mixes cereal and formula in a bottle and
  brings it to the center. Can we claim this as a
  creditable formula for a meal?
• A doctors statement is needed to claim formula
  mixed with cereal.

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Question

• If a parent wants an infant to have more than
  three meals during the day, who should furnish
  the formula for the meals that cannot be claimed?

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Answer

• If a parent wants an infant to have more than
  three meals during the day, who should furnish
  the formula for the meals that cannot be claimed?
• The parent because the center is not required to
  provide formula for more than three meals per
  infant per day.

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Question

• Is yogurt a creditable food for infants?

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Answer

• Is yogurt a creditable food for infants?
• No. Commercially prepared, plain yogurt can be
  served as an extra to infants 8 months and older,
  but it is not creditable as a meat/meat alternate.

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Question

• Are meals served to a child who just turned one
  year old reimbursable if they contain infant
  formula?

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Answer

• Are meals served to a child who just turned one
  year old reimbursable if they contain infant
  formula?
• Yes, for a period of one month. After the 13th
  month, a doctors statement will be needed for
  formula to continue in place of fluid milk.

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Question

• If a physician prescribes whole cows milk as a
  substitute for breast milk or formula for an
  infant under 12 months of age, are meals
  reimbursable?

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Answer

• If a physician prescribes whole cows milk as a
  substitute for breast milk or formula for an
  infant under 12 months of age, are meals
  reimbursable?
• Yes, with a doctors statement, the meal pattern
  can be amended.

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Question

• Must all infants be fed during the period
  identified as meal time on the center agreement
  with NDE?

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Answer

• Must all infants be fed during the period
  identified as meal time in the center agreement
  with NDE?
• No, infants may be fed on demand.